Case 142: Sub 5 mm Lung Nodule Biopsy

Table of Contents

Table of Contents

Table of Contents

CT Guided BiopsyBhavin Jankharia

Previous Case:

Case 141: Thymic Mass Biopsy, Seeding Issues, etc

Suspected thymic mass biopsies are safe and simple and seeding is not an issue.

CT Guided BiopsyBhavin Jankharia

Current Case:

A 55-years old, recently diagnosed to have carcinoma breast, was found to have multiple < 5 mm sized lung nodules on a staging PET/CT.

She was referred for a CT guided biopsy. The left lower lobe nodule seemed to be the simplest to approach in the prone position.

The video discusses the case, the approach to this nodule, other similar nodules and basic principles of performing biopsies in sub 5 mm lung nodules.

Region: Lung
Age: 55 years
Findings: Multiple lung nodules
Lesion Biopsied: Nodule in superior segment right lower lobe medially
Size of Lesion: 3.7 mm z axis x 4.5 mm - avg 4.1 mm
Gun: 20G Cook, long, 10 mm throw
No of cores: 2 for histopath
Sedation: No
Position & Approach: Prone
Time Taken (marker to wash-out): 10 mins
Complication: Small 10 cc pneumothorax stable after 5 and 65 minutes
Level of Difficulty: 5/5
Diagnosis: Metastatic adenocarcinoma from breast primary

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